287 Patients also need to be coaxed

(Thanks to my friend aisu2295168 for his encouragement)

Liu Banxia's temporary observation, without any way to treat it, made Curator Qu really incomprehensible. It's already like this, how can you do nothing?

Liu Yiqing manages the bed and pays attention to the patient's vital signs at any time. Although the blood oxygen has not returned to normal, it has improved. After returning to the ward, Liu Banxia commanded.

"Okay, I'll sit in the ward. Liu Yiqing nodded vigorously.

"Doctor Liu, do you really need treatment? Just do it?" After walking out of the ward, Director Qu still asked the doubts in his heart.

"It's not a good job, haven't you also seen the X-ray we just had, and the embolic area is not very large. Liu Banxia said.

"I also said that whether we have thrombectomy or thrombolysis, we need to use blood-thinning drugs. When these drugs flow into the body, they spread throughout every blood vessel in the body. ”

"He had a hydrocystoma in his brain. This hydrocystoma tends to occur in the lymph nodes, but it is not impossible for it to occur in the brain. Generally, there are two kinds, one is congenital, and the other is cerebral edema caused by trauma, and the residue after absorption. ”

"Combined with Xiao Han's condition, I think the day after tomorrow is more likely. This is an incomplete absorption of edema, which means that the edema caused by the year has not been completely absorbed. ”

"A lot of times when we get hit on the head, it can happen. It's just that it was difficult to detect at the time, after all, whoever was beaten in the head would not be comfortable for the rest of the time. ”

"We have arranged for a doctor to be here to monitor him at any time, and when he has passed this period of danger and his life has stabilized, he can be implanted with a vena cava filter to prevent any more embolism from jumping into his lungs. ”

"When Xiao Han recovers, I have to invite you to dinner. You've seen what happened just now, what do you think would have been the result if it had happened while driving?"

Curator Qu nodded, a car accident is inevitable, whether the car is destroyed or not is a matter of two words. Xiao Han's painful expression just now, where is the time to manage the steering wheel and accelerator.

Although he didn't understand all the things that Liu Banxia just explained, what he understood could also make him understand.

Didn't the patient I met at the door of the CT room have cerebral edema or something, and then he died. If Xiao Han really had that kind of situation during the operation, it would be even more dangerous if he didn't do it well.

"You say, why are you so peaceful with my brother, why does he ask for your opinion? Seeing that there was no one on the side, Liang Xiaolin pulled Liu Banxia aside.

"You ask me, who do I ask? You have to ask him. I was surprised, he used to be very strong and domineering. Liu Banxia shrugged his shoulders.

Liang Xiaolin gave him a blank look, "I sent him a message, but he hasn't replied to me yet." Just now, I was really afraid that the two of you would pick up at the door of the CT room and you would both be punished. ”

"We're not children, we fight as soon as we meet?" Liu Banxia said helplessly.

"Haven't you done much for children?" Liang Xiaolin dropped a sentence and stepped aside.

She was really curious, and she had to ask for a while anyway, otherwise she might not be able to sleep if she didn't understand.

"The patient just now has also been dealt with?" Wei Yuan walked over.

"Observe first, then dispose of it. Did the patient go to the morgue?" Liu said.

"This one is unlucky, it seems to be an unqualified door and window processing factory, and it came to pay 5,000 yuan, and now no one can find it. Wei Yuan said.

"I don't know how long people have to stop with us, and we can choke and pull away before the matter is decided. Although there was no follow-up rescue, the cost of early rescue was also a lot. ”

"Hey...... , There's no way, at that time, I could only go to the stage first and then make up the brain CT. I heard from the nurse that the people who came here at the beginning also learned about it, and I guess they will have to pull us in by then. Liu Banxia said.

There is no reason for this matter, and the one who made the window will definitely find a way to throw the blame on the hospital in order to reduce the responsibility. But don't worry about it in a clear event, it's not something that can be shaken off.

It's just that for the patient's family, it may be very difficult to protect their rights, and the other party will not be able to give much compensation.

"Dr. Liu, come here, there is a patient who needs to be consulted. At this time, Xu Hui walked out of the internal medicine clinic.

"What's the situation?" asked Liu Banxia.

"Abdominal pain around the navel, slight chest pain, some arrhythmia on auscultation, soft abdomen without abnormality, and slightly more bowel sounds. Xu Hui said.

"I did an electrocardiogram, blood routine, blood biochemistry, and muscle protein, and the results of the examination were low albumin content, creatine and blood lactate content. ”

"I was going to give the patient another abdominal X-ray, but now that the patient doesn't feel pain, I don't plan to do it, and I didn't agree to it after a long time. ”

"Let me take a look first, is there anything abnormal about the ECG?" asked Liu Banxia.

"The ECG is normal, but I think it may have been done a little late and didn't catch it. After all, I had an irregular heart rate, and creatine and blood lactate were a little high, and I always felt that there was something abnormal in my heart. Xu Hui said.

"And the patient was admitted to the hospital because of abdominal pain, and I need to rule out whether it was arrhythmia, angina symptoms due to abdominal pain, or abdominal pain symptoms due to angina. ”

Liu Banxia nodded, the situation was already under control.

I took another look at the patient's age, 47 years old, and according to the current trend, myocardial infarction is also likely to occur at this age.

"Chest pain is definitely one of the symptoms when you come to the doctor, and we will have a detailed examination for every patient with chest pain. Liu Banxia said.

"But isn't the electrocardiogram all right? And after so much blood was drawn, the test for this and that was a little bit higher. Now my chest doesn't hurt anymore, my stomach doesn't hurt anymore, there must be nothing wrong with it. The patient said.

"When it comes to heart disease, it's hard for us to grasp the Tao when we don't have a seizure. Liu Banxia said.

"If you're really resistant to an exam, we'll do an abdominal X-ray. After all, you were admitted to the hospital with abdominal pain, so you can't leave in such a daze. ”

"We don't want you to miss the diagnosis and delay your condition. You've been here, and you have to make sure you know before you go back, right? Otherwise, the toss along the way will be in vain. ”

"The doctor also said just now, if I don't do the examination, I just need to sign it, and I didn't say that I have to look for you again. The patient said.

"That's true, but in the end, who suffers? Liu Banxia said with a smile.

"There's nothing wrong with you, your money is in vain. If you really have something else wrong, the money will be wasted. Anyway, from our point of view, any chest pain will have something to do with the heart. ”

"Like I said, please have peace of mind. You may be worried that we are going to generate income for the hospital, and we didn't give you color ultrasound, CT, or MRI, but we prescribed a normal blood test and X-ray. ”

"Think for yourself, anyway. My personal opinion, take an X-ray to determine whether it is the abdomen or the chest, and then you make a decision. ”

"What if it's all right after filming, do you have to go back to the check-up?" the patient asked.

"In that case, there should be. However, I would recommend observing for half an hour to an hour to see if there is anything new. If not, we won't stop you if you want to leave, sign your hand and go. Liu Banxia said.

"Actually, the sun is hot and dry outside, what can you do when you go out? At noon, you can also go to our hospital canteen to eat, in all hospitals in Binhai City, the food in our hospital canteen dare not be said to be the best, but it is not worse than that of the restaurant. ”

"I'm done with you, I don't even know what to say. Let's make a film and see if I don't feel any discomfort right now. The patient said helplessly.

"Zidang is a physical examination. My parents are going to have them come over tomorrow for a full body check-up, and now the quality of life has improved, and the food is complicated, which has also made our health worse. Liu Banxia said with a smile.

"That's the same thing, but why don't you persuade people to talk about their illness?" asked the patient curiously.

"That's what kind of person is it, some patients are worried about money, you are not that kind of patient, you are troublesome. It's all about selling, except we're selling more about the health of patients. Liu Banxia said.

"Come on, don't fool me anymore, if I keep fooling around, I might have to do a full body check-up. Hurry up and give me a bill, after the filming, I'll go to your cafeteria to try it when there's nothing to do, so I don't have to go home and make food. The patient said.

"You go over and pay the fee with the registration slip. Xu Hui hurriedly said.

The patient nodded, took it and went to pay the fee, with a brisk step.

"Mr. Liu, I have to call Mr. Liu with you, I am convinced, I am really convinced. Xu Hui gave a thumbs up.

"Hey...... , now patients have to be coaxed, that is, to talk small, boast, just scare is not enough. Liu Banxia said with a wry smile.

"You haven't been persuaded by such experience, you must have already introduced the relevant situation, then I have to change my approach. Sometimes, it's really tiring. ”

"Haha, let's see how the film looks like in a while. Anyway, if it's okay, I'll have to call you for help. The patient recognizes you, and it's easy to say anything. Xu Hui said.

Liu Banxia nodded, "No problem, if you have time, help me pay more attention to the pulmonary embolism patients upstairs." As long as the condition is stable, the surgical option will have to be discussed. ”

"It has to be fine. Xu Hui responded very happily.

When faced with patients who refuse to be examined, sometimes it is really powerless. Fortunately, Liu Banxia made the patient happy, otherwise it would be really difficult to deal with.